| NPI | 1477657013 |
|---|---|
| Doing Business As | EASTLAND VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | JARED P WALKER President 208-733-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-0539) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2023-03-17 |